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某市50所二级及以上医院连续6年医院感染监测指标调查

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目的 了解某市50所二级及以上医院2017-2022年连续6年医院感染监测指标变化趋势。方法 连续6年收集该市50所二级及以上医院医院感染监测指标,比较医院感染监测指标变化趋势。结果 医院感染管理专职人员数量由2017年的91人增加至2022年的165人;医院感染信息化使用率由2017年的17。00%上升至2022年的54。00%。2017-2022年连续6年50所二级及以上医院医院感染发病率(0。91%VS 0。59%)、医院感染现患率(2。36%VS 1。08%)、Ⅰ类切口手术部位感染率(0。33%VS 0。16%)均呈下降趋势,医务人员手卫生依从率呈上升趋势(61。03%VS 85。04%)。血管导管相关血流感染、呼吸机相关肺炎、导尿管相关尿路感染发病率整体均呈现下降趋势。三级医院的医院感染发病率、医院感染现患率、医务人员手卫生依从率、呼吸机相关肺炎发病率均高于二级医院,二级医院的Ⅰ类切口手术部位感染率高于三级医院,差异均有统计学意义(均P<0。001)。结论 规范开展医院感染监测,根据监测结果完善医院感染防控制度及措施,能降低医院感染发病率。
Monitoring indexes of healthcare-associated infection in 50 secondary or higher grade hospitals in a city for consecutive 6 years
Objective To understand the changing trend of healthcare-associated infection(HAI)monitoring inde-xes in 50 secondary and higher grade hospitals in a city for 6 consecutive years from 2017 to 2022.Methods Infec-tion monitoring indexes from 50 secondary or higher grade hospitals in the city for 6 consecutive years were collec-ted,and changing trend of HAI monitoring indexes were compared.Results The number of full-time HAI manage-ment professionals increased from 91 in 2017 to 165 in 2022.The utilization rate of HAI information system in-creased from 17.00%in 2017 to 54.00%in 2022.In 6 consecutive years from 2017 to 2022,the incidence of HAI(0.91%vs 0.59%),prevalence rate of HAI(2.36%vs 1.08%),infection rate of class I incision surgical site in-fection(0.33%vs 0.16%)in 50 secondary or higher grade hospitals all showed downward trends,while health care workers'hand hygiene compliance rate showed an upward trend(61.03%vs 85.04%).Incidences of vascular cathe-ter-related bloodstream infection,ventilator-associated pneumonia,and catheter-associated urinary tract infection all showed downward trends.Incidence of HAI,prevalence rate of HAI,health care workers'hand hygiene compli-ance rate,and incidence of ventilator-associated pneumonia in tertiary hospitals were all higher than those in secon-dary hospitals,while surgical site infection rate of class Ⅰ incision in secondary hospitals was higher than that in tertiary hospitals,with statistically significant differences(all P<0.001).Conclusion Standardizing the monitoring of HAI,as well as improving the prevention and control system and measures of HAI according to the monitoring results can reduce the incidence of HAI.

healthcare-associated infectiontargeted monitoringcomprehensive monitoringmultidrug-resistant organism

孙海霞、马樑、张阳、张苗苗、冯柳芳

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邢台市中心医院医院感染管理科,河北邢台 054000

河北医科大学临床医学,河北石家庄 050000

医院感染 目标性监测 综合性监测 多重耐药菌

2024

中国感染控制杂志
中南大学

中国感染控制杂志

CSTPCD北大核心
影响因子:2.112
ISSN:1671-9638
年,卷(期):2024.23(1)
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